| NPI | 1245488527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA NATALUCCI-HALL Psychologist 631-239-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 012586-01) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |